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Home My WebLink About1986-HVAC (furnace) � _ CITY OF OSH KOSH No _ 01804 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ,D 9 �� ?�l'� � PLAN NO. OWNER �7 Te !/ e- ��-�(�� DESIGNER USE/NATURE OF WORK `� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height : Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �PG S�v � 5�'�i� ,� „ Heat� A/C ❑ Vent ❑ Fuel/System , � Heat Loss � � � BTU'S V ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH —Disp —WSoft _CBasin —Lav —Sh —DW _DF —San. Sewer —WC —FDr _SP —Ur —Storm Sewer Sink —LTub —Eject —SS —Water Other � FEES: Valuation $ /� ��. �ermit Fee Paid $ � �`� Park Dedication $ ISSUED BY Date � � Final/O.P. � �–� � `g� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �• O D AGENT/OWNER DATE ADDRESS � �- �� S�� (O ��Cl TELEPHONE#